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Business Combinations and Asset Acquisitions Smiths Medical Pro Forma (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2022 | Mar. 31, 2021
Business Combination and Asset Acquisition [Abstract] |  |
Business Acquisition, Pro Forma Revenue | $ 563,743 | $ 594,144
Business Acquisition [Line Items] |  |
Revenues | 543,122 | 318,046
Net Income | (38,068) | 23,731
Business Acquisition, Pro Forma Net Income (Loss) | (34,994) | (1,994)
Pro Forma Adjustment - Amortization | 3,300 | 26,300
Pro Forma Adjustment - Finance Costs | 800 | 12,600
Pro Forma Adjustment - Inventory |  | 18,800
Pro Forma Adjustment - Related Party Loans | 81,000 | $ 31,000
Acquisition-related Costs |  |
Business Acquisition [Line Items] |  |
Business Acquisition, Transaction Costs | 13,500 |
SmithsMedical |  |
Business Acquisition [Line Items] |  |
Revenues | 214,900 |
Net Income | $ 40,400 |

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